title: Evaluation of quality and patient satisfaction during endoscopic procedure: a cross sectional study from south Asian country.
abstract: OBJECTIVE
  To assess the quality of gastrointestinal (GI) endoscopic procedures and patient satisfaction in endoscopy suite of South Asian country.
  
  
  METHODS
  Patients coming to the endoscopic suite of Aga Khan University Hospital (AKUH) were interviewed and assessed in this cross-sectional study. Quality of GI endoscopic procedures was evaluated using assessment tools as suggested by The American Society of Gastroenterology. Patient satisfaction after the procedure was assessed using a modified GHAA-9 questionnaire. The questionnaire was statistically evaluated using Pareto analysis and Spearman rank correlation.
  
  
  RESULTS
  In this study, 323 patients were evaluated with a mean age of 43 +/- 14.36 years. Out of all the procedures 251 (77.7%) were gastroscopies while 72 (22.3%) were colonoscopies. Patients undergoing different therapeautic procedures were 121 in number (37.46%). Pre-procedure education was rated as excellent or very good by 91.3% of the patients. Midazolam was used for sedation with an average dose of 3 mg. Technically successful procedures included 99.2% gastroscopies and 98.6% colonoscopies. Mean score of patients regarding satisfaction on mGHAA-9 questionnaire was 30 +/- 3.965. Patient dissatisfaction calculated in our study was 3.6% with the length of time spent waiting before procedure and length of time waiting to get an appointment for the procedure contributing to 90% of dissatisfaction.
  
  
  CONCLUSIONS
  Quality of endoscopic procedures at our centre is at par with international standards with acceptable complication rate and good patient satisfaction.
authors.affiliation: Departments of Medicine, Section of Gastroenterology, Aga Khan University Hospital, Karachi, Pakistan.
authors.forename: Shahid
authors.initials: S
authors.lastname: Rasool
authors.forename: Shahid
authors.initials: S
authors.lastname: Ahmed
authors.forename: Shaheer
authors.initials: S
authors.lastname: Siddiqui
authors.forename: Mohammad
authors.initials: M
authors.lastname: Salih
authors.forename: Wasim
authors.initials: W
authors.lastname: Jafri
authors.forename: Saeed
authors.initials: S
authors.lastname: Hamid
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People; D003430:Cross-Sectional Studies; D016099:Endoscopy, Gastrointestinal / Q000592:standards*; D005260:Female; D019538:Health Care Surveys; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care; D019984:Quality Indicators, Health Care; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult